AFFIDAVIT AND MEMORANDUM OF AGREEMENT FOR PURCHASE AND SALE



STATE OF 

COUNTY OF 
BEFORE ME, the undersigned authority, on this day personally appeared , who, being
first duly sworn, deposes and says that:
1. An Agreement for the Purchase and Sale of the real property
described in the attached Exhibit "A" was entered into by and between the Affiant, as (Buyer/Seller), and 
, as (Buyer/Seller), on the day of 
, 19 .
2. The closing of the purchase and sale of said real property,
per the terms of the Agreement, is to take place on or before the day of , 19 .
3. A copy of the Agreement for Purchase and Sale of said
property may be obtained by contacting 
, whose address is 
, and whose telephone number is .
Dated this day of , 19 .
FURTHER AFFIANT SAYETH NOT. 
Signed, sealed and delivered in the presence of: 
Witness Affiant
Witness 
Sworn to and subscribed before me this day of , 19 . 
Notary Public 
(SEAL) State of 
My Commission Expires: 
_
This instrument was prepared by: 


EXHIBIT "A"
Description of Real Property 


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